Healthcare Provider Details

I. General information

NPI: 1407887177
Provider Name (Legal Business Name): ROBERT ARNOLD ROVNER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 GREENBELT RD SUITE U-18
BERWYN HEIGHTS MD
20740-2354
US

IV. Provider business mailing address

31 W IRVING ST
CHEVY CHASE MD
20815-4263
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-1919
  • Fax: 301-345-5779
Mailing address:
  • Phone: 301-654-0515
  • Fax: 301-657-8975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1151
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: